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Priya Sahu, Steven C Dresner; Use of a modified tarsal transfer for patients with moderate ptosis and lid retraction. Invest. Ophthalmol. Vis. Sci. 2014;55(13):3109.
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To describe a new surgical technique that incorporates the use of a tarsus and conjunctiva autograft to alleviate lower-lid retraction.
A retrospective chart review of 15 cases of conjunctivo-tarso-mullerectomy combined with ectropion repair from 2010 through 2013 were analyzed at a private practice.
13 out of 15 patients had excellent functional and cosmetic results at 3 months of follow-up. One patient needed further revision for cosmetic purposes but had resolution of symptomatic tearing. One patient was lost to follow up.
The use of a patient’s own tarsus and conjunctiva as a spacer graft in lower lid retraction is a cost-effective and safe option in patients with both moderate ptosis and lid retraction.
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